Laserfiche WebLink
..� <br />�►�r�� � , i _ . <br />���JL <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br />PHONE: (651) 490-2279 FAX: (651) 490-2931 <br />(City Code is available on the Internet: www.ci.roseville.mn.us). <br />SETBACK PERMIT APPLICATION <br />(CITY CODE SECTION 1013.05) <br />��� � .� p,��-- -.� <br />RESIDENTIAL PROPERTY OWNER FEE - $�5- <br />� ` (All fees payable upon submittal of completed application) F�°' 4� t't `; �-' � <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets, keying information to the proper item numbers: <br />1. Name of O�ti�ner: (First) (Middle) <br />2. <br />�J�r�-r �> / <br />Address of Owner <br />,� l �<<c�z <br />(No. And Street) (City) <br />(Last) (Phone) <br />, ��% y� c ; <br />(State) (Zip) <br />��' j �;��'; >s� ✓���'_��- S �c �e�� l/� ��'I,� ��� l i_� <br />3. IVame of Appl icant: (First) (Middle) � (Last) (Phone) <br />���7�?�'; �:../ I J�. ��� �:, '��� <br />4. Address ofApplica»t: (No. And Street) (City) (State) (Zip) <br />? `='� c-'�-�', > �� f���<��' /� c� � l/� �`j�j�, s'�-//�' <br />5. St�•eet Addr-ess of Property Involved.• � <br />3�; � ) <br />�, �,(/-; )�� �5 I G�, � J �< C' S C v. � I� /�-J�,, 5 S 1�� <br />6. State exactly what is intended to be done on or with the properry that ��equires the setback <br />pe�°mit: <br />.., _ -� r, � , . . � . . <br />�� <br />, !'� <br />i;n r���,���P Y����mn-��,r�-- �p� �n n� !►� TV�P� ('�A��^ �--� �� � <br />. �. _J. v ..� _ _ �.. � �, et �rT. <br />1 � "' . _ <br />; �� 1� <br />7. Expluin alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />,%'��; � e i ,, f �� �-� f �� � L ,�l r., � , � �� � . � s f� � � f � c , <br />S'r �'1 � �- f ���1 c 1 6% e l,�v' <br />Page 1 of 3 <br />